Various disorders

Question 1

Conduct disorder

Answer 1

Repetitive behavior violating the rights of others and violating societal norms.
Only for ages under 18
After 18 it is antisocial personality disorder.

Question 2

Oppositional defiant disorder

Answer 2

Continual hostile and defiant behavior specifically towards authority figures, but doesn’t seriously break social norms.

Question 3

Disruptive mood dysregulation disorder

Answer 3

Onset before age 10

Severe recurrent temper outbursts, constant anger and irritation.

Question 4

Vulnerable child syndrome

Answer 4

Parents percieve their child as super vulnerable, usually after something traumatic, and are hyper protective

Question 5

What are the mood disorders

Answer 5

MDD, Bipolar, Dysthymic, and cyclothymic disorder

Question 6

Schizophrenia

Answer 6

Chronic, lasting >6 months

Must have at least one of:

1: delusions
2: hallucinations
3: disorganized speed

and at least 2 total, including these as well:

4: Disorganized or catatonic behavior
5: Negative symptoms - flat affect, avolition, anhedonia, asociality, alogia

Can present with ventriculomegaly on brain imaging.
Increased suicide risk.
Teenage cannabis use increases schizophrenia in teens.

Question 7

Brief psychotic disorder

Answer 7

lasts less than 1 month

Question 8

Schizophreniform disorder

Answer 8

Lasts between 1 and 6 months

Question 9

Schizoaffective disorder

Answer 9

Schizophrenia plus a major mood disorder = schizoaffective disorder
defined by having a period of at least 2 weeks of ONLY the psychotic symptoms WITHOUT any major mood episodes.

Question 10

Major mood disorder with psychotic features

Answer 10

Schizophrenia plus Major mood disorder, but the major mood disorder is always present, no periods of >2 weeks with only psychosis.

Question 11

Delusional disorder

Answer 11

Fixed false beliefs lasting > 1 month.

Functioning otherwise normal.

Delusional disorder can be shared among people in a very close relationship - folie a deux.

Question 12

Manic episode

Answer 12

Lasts at least 1 week.
Needs at least 3 of these: DIG FAST

Distractable
Irresponsible
Gradiose

Flight of ideas
increased Agitation and goal directed Activity
less need for Sleep
Talkativeness, pressured speech.

Question 13

Hypomanic episode

Answer 13

Lasts at least 4 days. Elevated mood but not as high as mania. No psychotic features or no super significant impairment in social or work obligations.

Question 14

Depresion with atypical features

Answer 14

Can experience some improved mood, but only briefly.

Has hypersomnia and hyperphagia instead of insomnia and no appetite.

Leaden paralysis

Long standing rejection sensitivity.

Question 15

Grief

Answer 15

Normal feelings of denial, anger, bargaining, depression, and acceptance (doesn’t have to be in order)

Lasts less than 6 months.

Pathologic grief causes functional impairment.

Question 16

Panic disorder

Answer 16

Recurrent attacks with at least FOUR of these:
Palpitations
Paresthesias
dePersonalization or derealization
Abdominal distress
Nausea
Intense fear of dying
Intense fear of going crazy or losing control
LIght headedness
Chest pain
Chills
Choking
Sweating
Shaking
Short breath

Increased risk of suicide.

Question 17

Specific phobias

Answer 17

lasts at least 6 months.
Person is aware the fear is excessive.

1) Social anxiety disorder - fear of embarrassment in social situations
2) Agoraphobia. fear of AT LEAST TWO specific situations. closed spaces, lines, crowds, public transport, etc. only some patients refuse to leave home not all.

Question 18

Obsessive compulsive disorder

Answer 18

Recurring intrusive thoughts, feelings, or sensations (OBSESSIONS) that CAUSE DISTRESS

The stress is relieved in part by performing repetitive actions (COMPULSIONS).

It is Ego-dystonic. ie, it is against or not related to what the person actually believes, but he has the obsessions anyway.

Question 19

Body dysmorphic disorder

Answer 19

Preocuppation with minor or imagined flaws in appearance.

Patients often seek cosmetic treatments.

Question 20

Obsessive Compulsive Personality Disorder

Answer 20

The person is obsessed with order and perfection and things that ARE in line with what they believe. it is ego-Syntonic.

Question 21

PTSD

Answer 21

Lasts at least 1 month

Hyperarousal
Avoidance
Reexperiencing of the event
Distress

Question 22

Acute stress disorder

Answer 22

lasts between 3 days and 1 month.